【摘要】 目的：探讨术后留置双J管对单侧中上盏肾结石输尿管软镜碎石术（FURL）后疗效及安全性。方法：回顾性分析2019年4月至2021年10月安徽省阜阳市第二人民医院泌尿外科接受FURL术单侧中上盏肾结石患者122例，根据术后是否留置双J管分为未置管组57例和置管组65例。比较两组患者结石清除率、手术时间、住院时间、并发症及腰腹疼痛发生情况。结果：全部患者均顺利完成手术，镜鞘置入顺利，未见输尿管或肾脏黏膜损伤。相比未置管组,置管组手术时间长[（52.05±12.17）vs.(48.87±10.84)min]，术后血尿[55.38%(36/65)vs. 26.32%(15/57)]和膀胱刺激发生率[33.85%(22/65)vs. 12.28%(7/57)]、术后7d、14d和28d腰腹疼痛发生率[55.38%vs. 33.33%; 41.54%vs. 15.79%;36.92%vs.3.51%]高，差异具有统计学意义（P<0.05）。结论：对于基础身体机能状态较好、结石负荷较低的单侧中上盏肾结石患者,FURL术后不留置双J管更有助于缩短手术时间，降低术后血尿和膀胱刺激发生风险。更多还原

【Abstract】 Objective:To investigate the efficacy and safety of postoperative indwelling double-J stent for unilateral flexible ureteroscopic lithotripsy(FURL)for upper and middle caliceal renal calculi. Methods:From April 2019to October 2021,122 patients with unilateral middle-upper calyceal renal calculi who underwent FURL in the Department of Urology of the Second People’s Hospital of Fuyang City,Anhui Province were retrospectively analyzed. Fifty-seven patients in the no catheterization group and 65 in the catheterization group were divided according to whether or not a double J stent was left in place after surger.The stone clearance rate,operation time,hospital stay,complications and incidence of lumbar and abdominal pain were compared between the two groups. Results:All patients successfully completed the operation,and the endoscopic sheath was placed smoothly. No ureter or kidney mucosa injury was found. In the catheterization group,operative time was longer[(52.0±12.17)vs.(48.87±10.84)min],the incidence of postoperative hematuria[55.38%(36/65)vs. 26.32%(15/57)],incidence of bladder irritation[33.85%(22/65)vs. 12.28%(7/57)],and incidence of lumbar and abdominal pain at 7st,14th and 28th day after surgery[55.38% vs. 33.33%;41.54% vs. 15.79%;36.92% vs. 3.51%]were higher than in no catheterization group,and the difference was statistically significant(P<0.05). Conclusion:Postoperative indwelling double-J stent is not helpful to shorten the operation time and reduce the risk of hematuria and bladder irritation after FURL for patients with unilateral middle-upper caliceal calculi with good basic physical function and low stone load.更多还原